58383_NC DOT_20120614

❑EAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Rules attached.
Applicant Name
Address
City State ZIP
Phone # () Fax # ()
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA
AEC(s): ❑ OEA ❑ HHF ❑ IH
❑ PWs: ❑ FC:
ORW: yes / no PNA yes /, no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # () River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length
I
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Ripraplength
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
i
i
i
i
C
+.
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no .
Waiver Attached: yes no
A building permit may be required by: ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name
Permit Officer's Signature
Signature ** Please read compliance statement on back of permit ** Issuing Date
Application Fee(s)
Check# Local Plan ningJurisdiction
Expiration Date
Rover File Name

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar- Pamlico River Basin Buffer Rules ❑ Other:
❑ Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06

Oate:�—
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet. '
Habitat Name
DISTURB T "I'E
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
_impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge El Fill [`Both ❑ Other ❑
00
Dredge ❑ Fill ❑ Both ❑ Other ❑
bredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ . Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge [] , Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
3
2152 30J.3-2t 03 ,. I..:g,33 MCOA'>i

DCM MP-1
APPLICATION for
Major Development Permit MAY 1 12012
(last revised 12/27/06) i)CM-MHD CITY
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
North Carolina Department Of Transportation
Project Name (if applicable) N%.8S:: 0-?, a p( (o /
SR 1335 Harkers Island Road
Applicant 1: First Name
Jay
MI
B
Last Name
Johnson
Applicant 2: First Name
MI
Last Name
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
PC Box
1587
City
Greenville
State
NC
ZIP
27835 1587
Country
USA
Phone No.
252 - 439 -
2800 ext.
FAX No.
252 - 830
- 3341
Street Address (if different from above)
City
State
ZIP
Email
[e-mail]
2. Agent/Contractor Information
Business Name
Agent/ Contractor 1: First Name
MI
Last Name
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
PO Box
City
State
ZIP
Phone No. 1
ext.
Phone No. 2
ext.
FAX No.
Contractor #
Street Address (if different from above)
City
State
ZIP
Email
<Form continues on back>

Form DCM MP-1 (Page 2 of 4)
APPLICATION for
RECEIVED Major Development Permit
3. Project Location
County (can be multiple)
Street Address
State Rd. #
Carteret
DCM-MHDCITY
1335, Harkers Island Rd
Subdivision Name
City
State
Zip
Phone No.
Lot No.(s) (if many, attach additional page with list)
- - ext.
I I I ,
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
White Oak
Core Sound
c. Is the water body identified in (b) above, natural or manmade?
d. Name the closest major water body to the proposed project site.
®Natural ❑Manmade ❑Unknown
Core Sound
e. Is proposed work within city limits or planning jurisdiction?
f. If applicable, list the planning jurisdiction or city limit the proposed
❑Yes ®No
work falls within.
4.
Site Description
a.
Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.ft.)
N/A
400
c.
Size of individual lot(s)
d. Approximate elevation of tract above NHW (normal high water) or
N/A, I I
NWL (normal water level)
(If many lot sizes, please attach additional page with a list)
5' ❑NHW or ®NWL
e.
Vegetation on tract
Maintained Road Side Grasses
f.
Man-made features and uses now on tract
Roadway
g.
Identify and describe the existing land uses admiacent to the proposed project site.
National Park Service
h.
How does local government zone the tract?
i. Is the proposed project consistent with the applicable zoning?
N/A
(Attach zoning compliance certificate, if applicable)
❑Yes ❑No ®NA
j.
Is the proposed activity part of an urban waterfront redevelopment proposal? ❑Yes ®No
k.
Hasa professional archaeological assessment been done for the tract? If yes, attach a copy. ❑Yes ❑No ®NA
If yes, by whom?
I.
Is the proposed project located in a National Registered Historic District or does it involve a ❑Yes ❑No ®NA
National Register listed or eligible property?
<Form continues on next page>
25 -Stf 8-2 8081-8 8 8 - 4 R C 0A 5 T .ncccastaImana9emeir t. n et

Form DCM MP-1 (Page 3 of 4)
APPLICATION for
Major Development Permit
m. (i) Are there wetlands on the site?
❑Yes ENo
(ii) Are there coastal wetlands on the site?
❑Yes ENo
(iii) If yes to either (i) or (ii) above, has a delineation been conducted?
❑Yes [:]No
(Attach documentation, if available)
n. Describe existing wastewater treatment facilities.
RECEIVEU
N/A
MAY 11 2012
i
r
o. Describe existing drinking water supply source.
DCM-T'IHD CITY
N/A
p. Describe existing storm water management or treatment systems.
Sheet Flow, Roadside Ditches
5. Activities and Impacts
a. Will the project be for commercial, public, or private use? ❑Commercial EPublic/Government
❑Private/Community
b. Give a brief description of purpose, use, and daily operations of the project when complete.
The pavement at the end of Harkers Island Road (SR 1335) has been undermined by wave and tide action, causing the
pavement to break off. The undermining action and broken pavement are isolated to the south eastern portion of the end of
the road, which is also the location of the primary outlet point for runoff from the roadside ditch running along the south side
of SR 1335.
c. Describe the proposed construction methodology, types of construction equipment to be used during construction, the number of each type
of equipment and where it is to be stored.
Backhoe, Excavator, Dump Truck
d. List all development activities you propose.
Remove broken asphalt along the affected portion of the roadway, rebuild the underlying slope and armor with filter fabric
and class "B" granite rip rap. All work will be located within the footprint of the removed/damaged pavement and within the
limits of the rights of way. Also propose lining the lower portion (approx. 100 linear feet) of the existing roadside with fabric
and class "B" granite.
e. Are the proposed activities maintenance of an existing project, new work, or both? Maintenance of an existing project
f. What is the approximate total disturbed land area resulting from the proposed project? 400 ESq.Ft or ❑Acres
g. Will the proposed project encroach on any public easement, public accessway or other area ❑Yes []No ENA
that the public has established use of?
h. Describe location and type of existing and proposed discharges to waters of the state.
Stormwater will sheetflow into roadside ditches before entering Core Sound
i. Will wastewater or stormwater be discharged into a wetland? ❑Yes ENo ❑NA
If yes, will this discharged water be of the same salinity as the receiving water? ❑Yes ❑No ENA
j. Is there any mitigation proposed? ❑Yes ❑No ENA
If yes, attach a mitigation proposal.
<Form continues on back>
- U -2 ,. I - 8 -4 C AST www. ner-oastal management act

Form DCM MP-1 (Page 4 of 4)
rR_ECEiyI➢JAPPL)CATION for
Major Development Permit
MAY 11 201?
6. Additional Information
In addition to this completed application form, (MP-1) the following items below, if applicable, must be subrnjtteg1Jq' re/ r fp the application
package to be complete. Items (a) — (0 are always applicable to any major development application. Please consult the application
instruction booklet on how to properly prepare the required items below.
a. A project narrative.
b. An accurate, dated work plat (including plan view and cross -sectional drawings) drawn to scale. Please give the present status of the
proposed project. Is any portion already complete? If previously authorized work, clearly indicate on maps, plats, drawings to distinguish
between work completed and proposed.
c. A site or location map that is sufficiently detailed to guide agency personnel unfamiliar with the area to the site.
d. A copy of the deed (with state application only) or other instrument under which the applicant claims title to the affected properties.
e. The appropriate application fee. Check or money order made payable to DENR.
f. A list of the names and complete addresses of the adjacent waterfront (riparian) landowners and signed return receipts as proof that such
owners have received a copy of the application and plats by certified mail. Such landowners must be advised that they have 30 days in
which to submit comments on the proposed project to the Division of Coastal Management.
Name United States of America / National Park Service Phone No.
Address
Name Phone No.
Address
Name Phone No.
Address
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee, and issuing dates.
h. Signed consultant or agent authorization form, if applicable.
i. Wetland delineation, if necessary.
j. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed by property owner)
k. A statement of compliance with the N.C. Environmental Policy Act (N.C.G.S. 113A 1-10), if necessary. If the project involves expenditure
of public funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy Act.
7. Certification and Permission to Enter on Land
I understand that any permit issued in response to this application will allow only the development described in the application.
The project will be subject to the conditions and restrictions contained in the permit.
I certify that I am authorized to grant, and do in fact grant permission to representatives of state and federal review agencies to
enter on the aforementioned lands in connection with evaluating information related to this permit application and follow-up
monitoring of the project.
I further certify that the information provided in this application is truthful to the best of my knowledge.
Date 5/7/12 Print Name Jay Johnson
Signature
Please indicate application attachments pertaining to your pro sed project.
DCM MP-2 Excavation and Fill Information ❑DCM MP-5 Bridges and Culverts
/❑DCM MP-3 Upland Development
❑DCM MP-4 Structures Information
5-802-280 . 1- 8-4RC A T .a mww.nf,,c astaima a erk-ent not

Form DCM MP-2 UCEral)
EXCAVATION and FILL MAY 1 1 2012
(Except for bridges and culverts)
DCM-T&ID CPI'Y
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
Describe below the purpose of proposed excavation and/or fill activities. All values should be given in feet.
Access
Other
Channel
Canal
Boat Basin
Boat Ramp
Rock Groin
Rock
(excluding
(NLW or
Breakwater
shoreline
NWL)
stabilization
Length
Width
Avg. Existing
NA
NA
Depth
Final Project
NA
NA
Depth
1. EXCAVATION El This section not applicable
a. Amount of material to be excavated from below NHW or NWL in b. Type of material to be excavated.
cubic yards.
c. (i) Does the area to be excavated include coastal wetlands/marsh
(CW), submerged aquatic vegetation (SAV), shell bottom (SIB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV ❑SB
❑WL ❑None
(ii) Describe the purpose of the excavation in these areas:
d. High -ground excavation in cubic yards.
2. DISPOSAL OF EXCAVATED MATERIAL ❑This section not applicable
a. Location of disposal area. b. Dimensions of disposal area.
c. (i) Do you claim title to disposal area?
❑Yes [:]No ❑NA
(ii) If no, attach a letter granting permission from the owner.
e. (i) Does the disposal area include any coastal wetlands/marsh
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV ❑SB
❑WL ❑None
(ii) Describe the purpose of disposal in these areas:
d. (i) Will a disposal area be available for future maintenance?
❑Yes ❑No ❑NA
(ii) If yes, where?
f. (i) Does the disposal include any area in the water?
❑Yes ❑No ❑NA
(ii) If yes, how much water area is affected?
- 08- - fro - T vvtrV ncc t rr�a �ent.raet revised. 't (6/ f
......... ......... .........

• or - (Excavation and Fill, Page 2 of 2
3, SHORELINE STABILIZATION El This section not applicable
(If development is a wood groin, use MP-4 — Structures)
a. Type of shoreline stabilization:
❑Bulkhead ORiprap ❑Breakwater/Sill ❑Other:
c. Average distance waterward of NHW or NWL: Less than 5'
e. Type of stabilization material:
Granite Class B
g. Number of square feet of fill to be placed below water level.
Bulkhead backfill Riprap 50 - 100 SgFt
Breakwater/Sill Other
i. Source of fill material.
Fountain Quarry
b. Length: 100'
Width: 4'
d. Maximum distance waterward of NHW or NWL: Less than 5'
f. (i) Has there been shoreline erosion during preceding 12
months?
®Yes ❑No ❑NA
(ii) If yes, state amount of erosion and source of erosion amount
information.
Wave Action / Runoff
h. Type of fill material. _- RECEIVED
Granite Riprap
MAY 11 2012
DCM-MiID CITY
4. OTHER FILL ACTIVITIES ❑This section not applicable
(Excluding Shoreline Stabilization)
a. (i) Will fill material be brouqht to the site? ❑Yes ❑No ❑NA b. 0) Will fill material be placed in coastal wetlands/marsh (CW),
If yes,
submerged aquatic vegetation (SAV), shell bottom (SB), or
(ii) Amount of material to be placed in the water
other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
(iii) Dimensions of fill area
❑CW ❑SAV ❑SB
(iv) Purpose of fill
❑WL ❑None
(ii) Describe the purpose of the fill in these areas:
5. GENERAL
a. How will excavated or fill material be kept on site and erosion
b. What type of construction equipment will be used (e.g., dragline,
controlled?
backhoe, or hydraulic dredge)?
Silt Fence
Backhoe, Excavator, Dump Truck
c. (i) Will navigational aids be required as a result of the project?
d. (i) Will wetlands be crossed in transporting equipment to project
❑Yes ®No DNA
site? ❑Yes ®No ❑NA
(ii) If yes, explain what type and how they will be implemented.
(ii) If yes, explain steps that will be taken to avoid or minimize
environmental impacts.
/ 71
J,;�S4,, '-� f « 5CI-7
Date
Applicant Name
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Project Name
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revised: 12"2616

RECEIVED
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
MAY 11 2012
May 1, 2012
USA / National Park Service DCM-MTHD CITY
To Whom It May Concern:
This correspondence is to notify you as an adjacent riparian landowner that the North Carolina Department of Transportation
has determined that the pavement at the end of Harkers Island Road (SR 1335) has been undermined by wave and tide action,
causing the pavement to break off. North Carolina Department of Transportation plans to remove broken asphalt along the
affected portion of the roadway, rebuild the underlying slope and armor with filter fabric and class "B" granite rip rap.
Should you have objections to the proposed construction, please check the appropriate statement below, sign, date, and
return as soon as possible to:
Mr. Stephen Lane, Field Representative
N.C. Dept of Environment and Natural Resources
Division of Coastal Management
Morehead City District
400 Commerce Avenue
Morehead City, City N.C.28557
Written comments must be received by the Division of Coastal Management within 10 days of receipt of this notice.
NO RESPONSE WITHIN 10 DAYS of receipt of the correspondence will be INTERPRETED AS NO OBJECTION.
Sincerely,
I have no objection to the proposed project as described in this correspondence.
I have objection to the project as presently proposed and have enclosed comments.
(Signature)
/ (Date)

SR 1335
SR 1335
End of SR 1335
(Harkers Island Road)
White Oak River Basin
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APR-2E-2012 08:06 From:NCDOT 2522232105 To:912528303352 P.2/5
The pavement at the end of Markers Island Road (SR1335) has been undermined
by wave and tide action, causing the pavement to break off. The undermining
action and broken pavement are isolated to the south eastern portion of the end
of the road, which is also the location of the primary outlet point for runoff from
the roadside ditch running along the south side of SR 1335. 1 propose to remove
the broken asphalt along the affected portion of the roadway, rebuild the
underlying slope and armor with filter fabric and class `R' granite rip rap. All work
will be located within the foot print of the removed/ damaged pavement and
within the limits of the rights of way. We also propose lining the lower portion
(approx.. 100 Ift.) of the existing existing roadside with fabric and class'B' granite.

RPR-26-2012 08:08 From:NCDOT 2522232105 To:912528303352 P.3f5
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APR-26-2012 09:09 From:NCDOT
2522232105
To:912528303352
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Beverly E�<<vc . Perdue
Governor
June 14, 2012
A�
� jA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Braxton C. Davis
Director
NCDOT
c/o Jaye Johtaon
P.O. Box 1 '� 7
Greenville, N.C. 27835
Dear Mr. Johnson:
Dee Freeman
Secretary
Attached is General Permit #58383 C to construct 100' of rip rap to stabilize public rd. at SR 1335, Harkers
Island, North Carolina.
In order to \ ,:iidate this permit, please sign the permit as indicated. Retain the white copy for your files and
return the :'..,xied yellow and pink copies to us in the enclosed, self-addressed envelope. If the signed permit
copies arc not returned to this office before the initiation of development, you will be working without
authorization and will be subject to a Notice of Violation and subsequent civil penalties.
We apprecia'.c your early attention to this matter.
Sincerely,
Stephen Lana
Coastal 1VXttr.:"dement Representative
rcb
Enclosures
400 CL .,, Ave., Morehead City, NC 28557
Phon: J8-28081 FAX: [phone] Internet: www.nccoastalmanagement.net
An Equ: d r:L'y 1 Affirmative Action Employer
Nne
orthCarolina
naturally